| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,693.64 | $2,184.80 | $3,611.27 |
Byp Fem-Ant Tibl Pst Tibl Proneal Art/Oth Dstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,693.64 | $2,184.80 | $3,611.27 |